Eating Disorders Flashcards
Anorexia Nervosa / symptoms and impact
Restriction of energy intake with intention of weight reduction
Intense fear of gaining weight
Body dysmorphia
- Low mood
- Cognitive impairment
- Increased anxiety
- Pseudo sense of self control
- Life threatening medical complications
Bulimia Nervosa / symptoms and impact
- Eating an excessive amount of food, larger than most people would eat, over a similar period of time; then purging oneself due to feelings of fear and/ or disgust
- Low mood
- Anxiety
- Oesophageal ulceration
- Teeth decay
- Medical complications
Binge eating disorder / symptoms and impact
- Recurrent episodes of binge eating
- Lack of self-control associated with distress after bingeing
- Marked psychological distress
- Significant psychiatric co- morbidities
- Outline the differences between males and females who experience eating disorders
Men generally pursue bulking up and looking slim- aim for muscular bodies through excessive exercise, bingeing, purging, steroid use. Women generally want to look thinner so restrict, excessively exercise and purge.
What are modifiable and what are non-modifiable risk factors for developing an eating disorder?
Modifiable - dieting, disordered eating, body dissatisfaction, excessive exercise
Non modifiable - being female, 10-25 years old, genetic predisposition
- What are potential nursing interventions for modifiable risk factors?
- Education
- Normalisation of food and exercise to a healthy level
- Mindfulness and body tolerance
- Anxiety management techniques
- Information
- Outline the physical health risk factors for people who experience an eating disorder.
Skin/ integument effects Dental and oral effects Cardiovascular effects Renal dysfunction Gastrointestinal effects
- Outline the assessments required for someone with an eating disorder
Physical assessment
- ECG
- Urinalysis
- Complete Blood Count
- Weight
- Height
- Vital signs
- Metabolic status
- Cardiovascular and peripheral vascular function
- Outline the assessments required for someone with an eating disorder
Mental health assessment (including risk)
- Cognitive assessment
- MSE
- Risk assessment- self (intentional and non-intentional), risk of AWOL, risk of alcohol and drug use, risk of vulnerability, risk of violence
- AOD assessment
- Functional assessment
- Anxiety assessment
- Outline the assessments required for someone with an eating disorder
Body image assessment
- Distortion
- Dissatisfaction
- Avoidance
- Body checking
- Outline the assessments required for someone with an eating disorder
Nutritional and exercise assessment
- Caffeine and smoking (appetite reduction)
- Laxative use
- Supplements
- Weight measurements
- Intake
- Avoidance of food groups
- Excessive exercise
- Water loading
- Vomiting
- Diuretic use
- Outline the assessments required for someone with an eating disorder
Eating disordered behaviours and rituals
- Refusing to eat
- Cutting out foods
- Cutting up food in to very small pieces
- Removing oils and fats
- Lack of variety
- Fear of touching food
- Eating very slowly and without enjoyment
- Fidgeting at the table
- Outline the assessments required for someone with an eating disorder
Family assessment
- Confidentiality issues
- Family support
- Education
- No judgement
- What is re- feeding syndrome?
Potentially fatal in those who are malnourished. Refeeding syndrome is a metabolic disturbance that occurs as a result of reinstitution of nutrition in people and animals who are starved
- What other areas of health might you see re- feeding syndrome in?
- Poverty
- Older persons health
- Dementia and / or delirium
- Mental illness- psychosis/ depression where functional needs aren’t met
- Abuse
- Prisoners of war
- Anorexic patients
